Organization
ADVANCED ORTHOPAEDIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONRAD GREGERSON MD (OWNER)
(952) 470-2231
Entity
Organization
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Mailing address
6633 BRENDEN CT, CHANHASSEN, MN 55317-7560
(952) 470-2231
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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